Health care management/early career development: a process and considerations for making the most of an abbreviated practicum.
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Biomedical subjects
Publications and source records attributed to J D Rudnick.
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In the midst of the many changes that are occurring in the health industry, the pursuit of quality remains a constant. In the past, efforts at quality control have largely focused on the provision of clinical care. In this article, the authors discuss the role of health managers in the provision of quality care beyond the clinical environment in the area of guest services. Additionally, they review how to improve the organizational climate in which services are provided and measure the results.
In response to demands for cost containment in operational areas without subsequent declines in quality, many hospitals are implementing quality and productivity monitoring systems. This article describes the process used by St. Elizabeth Hospital Medical Center (SEHMC), Youngstown, Ohio, to determine that it would use an outside consultant, select a consultant, negotiate the contract and implement the program. The article offers practical advice for other hospitals considering using outside services for developing quality/productivity monitoring systems as well as other projects.
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In 1994 the conversion of Tennessee's Medicaid program to managed care sharply reduced the census of all Memphis hospitals, including St. Joseph Hospital and Health Care Centers. St. Joseph's Operations Leadership group (OLG) decided that expenditures must be cut by $8 million-$6 million of it coming from wages and salaries--so the hospital could enter fiscal year 1995 with a balanced budget. With the help of a consulting firm, the OLG determined that the wage and salary cuts could be realized by laying off a certain number of employees. All workers were told, in a series of round-the-clock meetings, that 162 jobs (22 managers and 140 hourly workers) would be eliminated in nine days. The hospital's labor relations attorney approved the criteria according to which workers would be dismissed. On the designated days (one for managers, another for rank-and-file workers), the layoffs were completed in an organized manner. The OLG had arranged with a private firm to set up a career placement center for the dismissed employees. Of the 162, 105 took advantage of the center's services. Thirty-five of those (21 percent) had new jobs within 45 days of the layoffs. The OLG was straightforward with the local media about the layoffs. Hospital leaders calmed remaining St. Joseph workers' anxieties with a series of follow-up meetings. These sessions also provided the OLG with useful feedback on the way it had conducted the layoffs.
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